INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
Subject: Outpatient hospital medicaid provider guide.
Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is publishing [a] revised outpatient hospital services medicaid provider guide.
Specific changes to the guide include:
|•||Clarified billing criteria for robotic assisted surgery.|
|•||Added procedure codes 95782 and 95783.|
|•||Added language regarding new limitations in providing therapies for clients who are nineteen - twenty years of age.|
|•||Add procedure codes and coverage changes;|
|•||Change prior authorization requirements for certain current procedural terminology codes.|